Groin pain in athletes.

Groin pain is a common and often frustrating problem in athletes who engage in sports involving kicking, rapid accelerations and decelerations, and sudden direction changes. The most common problems are adductor strain, osteitis pubis, and sports hernia. Other causes must be considered, including nerve pain, stress fractures, and intrinsic hip pathology. There is significant overlap and multiple problems frequently coexist. Accurate diagnosis leads to directed treatment, with rehabilitation focused on functional closed-chain strengthening and core stability.

Immediate Reduction of Shoulder Dislocation.

In brief Anterior shoulder dislocations are common injuries in sports medicine. Associated fractures and neurovascular injuries are rare but need to be identified by physical examination and x-ray before reduction is attempted. The authors present a preferred reduction method based on the technique described by Matsen et al;5 other methods can also be used. In the patient under 30 years of age, postreduction immobilization and strengthening exercises are important to help prevent redislocation; in older patients, range-of-motion exercises are more critical.